MARK J DECKER MD (Credential# 153075) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
MARK J DECKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0008955. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 16 Main St, Ellington, CT 06029. The current status is inactive.
| Licensee Name | MARK J DECKER MD |
| Credential ID | 153075 |
| Credential Number | CSP.0008955 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Main St Ellington CT 06029 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2007-03-01 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| Street Address | 16 MAIN ST |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakshmi N Padala Md | 16 Main St, Ellington, CT 06029 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark J Decker | 16 Main St, Ellington, CT 06029 | Physician/surgeon | 2006-12-27 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
| Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
| Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsay R Decker | 8 Hughes Place, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer Decker Aprn | 10 Cobblestone Ln, Newtown, CT 06470-1778 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nathan T Decker | 360 Federal Road, Brookfield, CT CT | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Barbara Decker Lnm | 1299 Stillwater Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Jennifer R Decker Dpm | 1260 Silas Deane Hwy Ste 105, Wethersfield, CT 06109-4363 | Controlled Substance Registration for Practitioner | 2015-02-05 ~ 2017-02-28 |
| Jilyan Grace Rae Decker | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-06-28 ~ 2021-02-28 |
| Mark C Lee Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark R Cullen Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark A Edelman | 17 Sasqua Rd, Norwalk, CT 06855-2824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARK J DECKER MD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).